Archive for the Public Health Category

Ebola: Doctors And Spin Doctors (October 20, 2014)

Posted in Ebola, Health Care, Insurance, O'Bama, Public Health on October 20, 2014 by e-commentary.org

. . .

L          “A spin doctor rather than a doctor.  One group of ‘D’ students was not doing us proud, so O’Bama turned to another group of ‘D’ students more familiar to him.  A JD is now nominally in charge of the MDs.”

D          “That will not end well.  By training, temperament and experience, lawyers are more effective playing spin doctors than doctors.”

L          “He is described as the ‘Ebola czar.’  When the government props up a ‘czar’ to address a problem, the government is tacitly admitting that everything undertaken to date by the government to address the problem has been a failure.”

D          “The Surgeon General is the one who should be overseeing the Ebola response.  The National Rifle Association will not allow the Senate to consider O’Bama’s nominee, Dr. Vivek Murthy, because he made some comments about guns and public health.  With time of the essence, the Acting Surgeon General Rear Admiral Boris Lushniak is a more appealing point person than a lawyer and Democratic political player.”

L          “By appointing an operative as the ‘czar,’ O’Bama is treating this matter as a public relations problem that can be managed by controlling the memes and dictating the themes.”

D          “Montesquieu’s discussion of the separation and balance of powers failed to acknowledge that Mother Nature has absolute veto power over the President and over Congress.  Of course, Montesquieu was a lawyer, not a doctor.”

L          “And she has veto power over the courts that will venture into this morass.  Judges will find their decisions automatically appealed and then likely reversed and remanded with much different instructions and consequences by Mother Nature, the Ultimate Judge.”

D          “Arrogance and its privileged cousin – hubris – are also mutating.”

. . .

D          “Those who test positive for the virus now are getting disproportionately expensive treatment and excessive attention.  The decision to fly the nurse Nina Pham from Texas to Maryland to an NIH facility that specializes in research and not treatment may prove to be exceptional.  No insurance company will provide for others to fly on a private jet to a national medical facility.  Insurance companies dictate health care policy in America and dictate that a person be treated locally and cheaply.”

L          “Some of those who were exposed have now gone 21 days without symptoms.  Conventional commentators are proclaiming victory.  I wonder if some tenacious ‘Type A personality’ virus will remain virulent for a longer period of time.”

D          “Some of the viruses will become benign in a fortnight and others will remain malignant for a month.  However, the amount and quality of care for each successive patient will decline exponentially at the same time that the virus is mutating exponentially.”

L          “When the celebrity patients are no longer on the screen, ordinary patients will be given numbers and partial bus fare with a substantial co-payment by the insurance companies and left to secure whatever medical care they can hustle.”

. . .

D          “Third world countries are often defined by their third world medical facilities and services.  Russia and China are each mutating into first-rate military powers, yet each country operates second world medical systems.  Someone who is able to obtain treatment from a Russian doctor – who is much more likely to be female than a doctor in America – must personally supply the medicines and medical supplies from black or brown market sources.”

L          “America is following that model.  So the first world and the second world and the third world are not prepared.”

. . .

Bumper stickers of the week:

“America’s health care system is neither healthy, caring, nor a system.” Walter Cronkite

Be prepared

Be calm and panic

Ebola: The Halcyon Days Of The Panic-demic In A “Peak” Health Care-less System (October 13, 2014)

Posted in Book Reference, Bureaucracy, Civil Rights/Civil Liberties, Ebola, Health Care, Military, Pogo Plight, Population, Privacy, Public Health on October 13, 2014 by e-commentary.org

. . .

1          “Who can you trust?  Events are moving so quickly.  Fraud and deception work effectively in finance and politics, but Mother Nature is indifferent to and immune from the shenanigans and machinations of mortals.”

2          “The government and the public are still mired at Stage 1.  The government is denying the threat because it has no plan.  The public is denying the threat because it has no idea.”

1          “I am collecting the quotations of the major players to document the response in real time.  Dr. Frieden with the CDCE and Dr. Fauci with NIAID/NIH are not prepared and have not been candid.  A test patient, Dr. Nancy Snyderman with NBC, agrees to a voluntary quarantine and then brazenly violates the quarantine, refuses to accept responsibility and escapes accountability.”

2          “We as a society need to move through the stages from denial to anger to bargaining to depression to acceptance of a plan more quickly than the virus is moving.”

1          “The health care-less system will peak after it fills the nineteen available beds.”

. . .

2          “Easy to say that everything reasonable must be done to contain and eliminate the menace in West Africa.”

. . .

2          “Viewers of Fox tv are yelling at the tube for the government to do something.  The Republicans who advertise on the network cut funding to the CDCE and other programs.”

1          “If the Democrats had provided an additional five billion dollars in funding to the CDCE, what would have happened?”

2          “The CDCE would have lobbied for another five billion dollars.”

1          “Or ten.  And yet the Democrats cut funding, as if any amount of funding matters.  Some researcher who sent repeated e-mails to those in power warning of the dangers of Ebola is not happy.”

2          “I can forward some of the e-mails.”

. . .

2          “A communicable disease is communicated by public transportation.  Even if the disease is not transmitted at this time via air, the public is transmitted via air.  Ebola is small enough to fit in a ‘carry on’ bag.  Ebola will hitchhike and stow away.  Air travel must be purposefully restricted.  Restrictions are costly, but the costs of limiting air travel must be weighed against the costs of not limiting air travel.”

1          “All costs should be calculated.  We need to address the resulting deprivations of privacy and limitations on constitutional rights before the public is too terrified to think.”

. . .

2          “One of the bench marks will be bleach sales.”

1          “Or overflow patients camping in tents in parking lots.”

. . .

1          “The female RNs are underpaid to do the work while the male MBAs who make the decisions take almost all the profits.  The RNs are underpaid to care for the sick and the dying and are not paid anything to get sick and to die in the process.  When a nurse is called in to care for someone sick with Ebola at an institution unprepared for the challenge, she or he should in good conscience call in sick.”

2          “She or he will get there and then be blamed for the negligence of the hospital.”

1          “The American military personnel being deployed to Africa are not being provided combat pay.  The ‘charge of the blight brigade’ should occasion charges against those giving the orders.”

2          “No one gets it.”

1          “Everyone will get it unless all of us get it.”

. . .

[See http://prosperouswaydown.com/category/subtopics/healthcare-subsystems/ebola-healthcare-subsystems/  Five stages of grief and five stages of collapse in a dire scenario.  http://cluborlov.blogspot.com/2014/10/ebola-and-five-stages-of-collapse.html#more.  Consider Earth Abides by George R. Stewart.]

Bumper stickers of the week:

Be clean

Get a flu shot

Wash your hands

Take your kids to the park

Prepare to hunker down

Be calm and panic (but do so with poise and dignity)

e-bola: Goin’ Internet-y (September 22, 2014)

Posted in Ebola, Health Care, Public Health on September 22, 2014 by e-commentary.org

. . .

C          “Some Internet postings go viral; some viruses go Internet-y.  e-bola is spreading as quickly as an e-mail attachment or a YouTube video.”

Doc     “Scary.”

C          “When a small minor localized flu outbreak occurs even in a large major metropolitan region with a variety of medical facilities, the health care system quickly borders on collapse.”

Doc     “Scary.”

C          “e-bola has hit the ‘Reply All’ button rather than the ‘Reply’ button.” Continue reading